Active NPI
Courtney Alexandra Lepore, OTR/L
- Occupational Therapist
- Garden City, NY
National Provider Identifier
1982211462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 025017
- Practice address
- 300 Garden City PLZ Ste 350
Garden City, NY 11530-3358 - Phone
- (516) 747-9030
- NPI assigned
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 025017 | NY | Primary |
Addresses
Primary practice location
300 Garden City PLZ Ste 350
Garden City, NY 11530-3358
Mailing address
130 Smith St
Deer Park, NY 11729-2644
Phone (631) 708-4172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025017 | NY | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Occupational Therapist | Current | Accepting new patients |
| Medcare Therapy Services:Physical, Occupational & Massage Therapy,PLLC | Occupational Therapist | Current | Accepting new patients |
Locations
800 E Gate Blvd
Garden City, NY 11530
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Holbrook, NY
- NPI 1326355132
Occupational Therapist
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1982211462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 SMITH ST",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117292644",
"telephone_number": "631-708-4172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 GARDEN CITY PLZ STE 350",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115303358",
"telephone_number": "516-747-9030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEPORE",
"first_name": "COURTNEY",
"middle_name": "ALEXANDRA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-28",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "025017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.